Wagner, Thomas
Wagner, Thomas is an individual health care provider with primary practice located at 34960 Center Ridge Rd , N Ridgeville OH 44039-3183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wagner, Thomas can be contacted via phone (440) 353-3433.Contact Information
Primary practice address
34960 Center Ridge Rd
N Ridgeville OH 44039-3183
Phone: (440) 353-3433
Fax: (440) 353-3431
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34007204 | Ohio |
Profile Details
NPI number | 1669464673 |
---|---|
LBN Legal business name | Wagner, Thomas |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 16th, 2005 |
Last updated | Nov 6th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669464673 | NPPES |
Ohio | Other | P00103662 | RR MEDICARE |
Ohio | MEDICAID | 2253832 | RR MEDICARE |
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